Reservation Form marketing Default Page Who will be there? Attendance Number of people attending the reunion Please Select 1 2 This field is required Check Amount ($50 x Number of Attendees) This field is required This field needs to be a valid value Make checks payable to: Barry Hines Attorney Trust Account Mail checks to: ATTN: SHS Class of '65 Reunion Barry Hines, Attorney 1224 Centre West Dr. - Suite 200A Springfield, IL 62704 Attending or not, please update your information for the class booklet Name This field is required This field needs to be a valid value Email Address This field is required This field needs to be a valid value Home Address This field is required This field needs to be a valid value City This field is required This field needs to be a valid value State Choose One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Maryland Massachusetts Michigan Minnesota Mississippi Missouri Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming This field is required Zip This field is required This field needs to be a valid value Home Phone This field is required This field needs to be a valid value Cell Phone This field is required This field needs to be a valid value Occupation / Employer This field is required This field needs to be a valid value Spouse's Name This field is required This field needs to be a valid value Children's Names and Ages This field is required Grandchildren’s Names & Ages This field is required Great-grandchildren’s Names & Ages This field is required Please do not list my name on the website as attending. This field is required Message to the Class This field is required Image Upload You may upload a family photo. File is required